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Morning Briefing

Summaries of health policy coverage from major news organizations

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Friday, Jun 28 2019

Full Issue

'Medicare For All' Might Be Hot Buzz Phrase These Days, But On Debate Stage Most Candidates Equivocate

On the second night of the 2020 Democratic debates only Sens. Bernie Sanders (I-Vt.) and Kamala Harris (D-Calif.) raised their hands when asked if they would get rid of private insurance in favor of "Medicare for All." Sen. Kirsten Gillibrand (D-N.Y.) said she supported Sanders' plan, but added the stipulation that there would need to be a transition period built in. Others on stage, including former Vice President Joe Biden, championed universal care, but wouldn't abolish the private insurance industry to get there.

Presidential candidate Kamala Harris dominated her Democratic rivals in a debate on Thursday, confronting front-runner Joe Biden on race and calling his remarks about working with segregationist senators "hurtful." In a breakout performance, the daughter of a black father from Jamaica and an Indian mother was at the center of several heated exchanges during the second night of debates among Democrats vying for the right to challenge Republican President Donald Trump in the 2020 election. (Oliphant and Gibson, 6/28)

The roster for Thursday night's Democratic presidential debate demonstrated some of the party's major divisions 鈥 even before candidates started talking. (Riccardi and Summers, 6/28)

For two nights, the 2020 Democratic presidential candidates tried to navigate the complicated terrain of national health-care policy 鈥 with answers that were often oversimplified, incomplete or simply misleading, according to health-care experts. Both nights saw abbreviated explanations of how to move 330聽million Americans onto a single government health insurance system. Candidates gave dire warnings about the dangers of Medicare-for-all that even the proposal鈥檚 critics say could not come to pass. And some of the Democratic presidential candidates overstated rising costs during the Trump administration. (Stein and Abutaleb, 6/28)

Candidates are picking one of two lanes on policy areas such as health care: as left of each other as they can get, or as close to the center as possible. The debates showed how that split could divide the party even before Republicans fire up their attack ads. (Kopan and Garofoli, 6/27)

When the moderator asked who would abolish private health insurance in favor of a government-run plan, only Senator Bernie Sanders of Vermont and Ms. Harris raised their hands. Senator Kirsten Gillibrand of New York explained that she supports Mr. Sanders鈥 鈥淢edicare for all鈥 bill, but that it will have a transition period for people to actively buy-in. (6/27)

Gillibrand said the quickest way to get to universal health care, where all Americans have insurance, is to let people 鈥渂uy in鈥 to the Medicare program. 鈥淚 believe we need to get to universal health care as a right, not a privilege, to single payer. The quickest way you get there is you create competition with the insurers,鈥 she said. 聽(Hellmann, 6/27)

Kaiser Health News: Health Care Gets Heated On Night 2 Of The Democratic Presidential Debate

Candidates including South Bend, Ind., Mayor Pete Buttigieg, New York Sen. Kristen Gillibrand and Colorado Sen. Michael Bennet offered their takes on universal coverage, each underscoring the importance of a transition from the current system and suggesting that a public option approach, something that would allow people to buy into a program like Medicare, would offer a 鈥済lide path鈥 to the ultimate goal of universal coverage. (Luthra, 6/27)

Former Vice President Joe Biden said the fastest way to get to universal health care coverage is to build on ObamaCare and vowed to oppose any Democrat or Republican who tries to cut down the law. "I鈥檓 against any Democrat who wants to take down ObamaCare and any Republican who wants to take it away," Biden said. (Weixel, 6/27)

Mr. Sanders entered the debate as a top candidate in the polls and fund-raising, and there were big expectations he would use his stature to push his message of revolution and aggressively go after Mr. Biden. But though many of the progressive policy ideas he has helped popularize dominated the night 鈥 most notably, universal health care 鈥 he at times got lost on stage, overshadowed in particular by Ms. Harris. (Glueck, Goldmacher, Ember and Epstein, 6/27)

Onstage with several candidates who are decades younger than him, [Sanders] also is trying to make the argument that a septuagenarian should be the face of revolutionary change in Washington. He talked about that revolution when asked how he would get his health-care plan passed. 鈥淲e鈥檒l do it the way real change has always taken place, whether it was the labor movement, the women鈥檚 rights movement or the civil rights movement,鈥 he said. 鈥淲hen tens of millions of people are prepared to tell the insurance companies and the drug companies that their days are gone, that health care is a human right.鈥 (Davies, Fuchs, Mellnik, Schaul, Wootson and Hughes, 6/27)

Sen. Michael F. Bennet (D-Colo.): 鈥淓xcept for plastic surgery, everything else is banned under the Medicare-for-all proposal.鈥 Bennet is basically correct. Section 107 of the Sanders Medicare-for-all would make it illegal for any private health insurer to sell coverage that duplicated benefits under the law or for any employer to duplicate the benefits, but would not prohibit the sale of health insurance for benefits not covered under the bill. But the bill proposes to cover just about everything. Hospital services. Primary and preventive care. Prescription drugs and medical devices. Mental health care. Lab work. Pediatrics. Dentistry. Hearing and vision care. Rehab. Emergency services. Even long-term care. (Kessler, Rizzo, Lee and Kelly, 6/28)

In one of the first exchanges of the night, the moderators cited Sanders鈥檚 affiliation with the Democratic Socialists of America, and asked former Colorado Governor John Hickenlooper whether the Democratic Party is veering toward socialism. Hickenlooper replied by criticizing two policy proposals that Sanders has famously championed: Medicare for All, which would usher in a government-run health-care system, and the Green New Deal, the ambitious blueprint to combat climate change. The moderate Hickenlooper, who took heat earlier this year for declining to call himself a capitalist, called for the candidates to more clearly communicate that 鈥渨e,鈥 meaning the Democrats, 鈥渁re not socialists.鈥 Senator Kirsten Gillibrand of New York cut in too, trying to assure viewers that the current debate within the party is not about socialism, but 鈥渂etween capitalism on the one hand and greed on the other.鈥 (Godfrey, 6/27)

Hickenlooper, a moderate, also aimed his fire at Sanders鈥 plan. 鈥淚 believe health care is a right and not a privilege but you can鈥檛 expect to eliminate private insurance for 180 million people, many of whom don鈥檛 want to give it up,鈥 he said. (Goodwin and Bidgood, 6/28)

The party鈥檚 embrace of some form of government-run insurance will certainly be a line of attack for Republicans during the general election. Immediately after the debate, President Donald Trump鈥檚 campaign issued a statement attacking Democrats. 鈥淎ll of the Democrats tripped over each other in a race to see who could stand out as the most leftist candidate, threatening government control of every aspect of people鈥檚 lives,鈥 said campaign spokeswoman Kayleigh McEnany. (Edney and Kapur, 6/27)

Senator Bernie Sanders of Vermont and other 2020 candidates often note that the United States spends twice as much on health care as other comparable nations but gets less value in return. (Stevens, 6/27)

Meanwhile, more from the first night of the debate 鈥

Kaiser Health News: Delaney鈥檚 Debate Claim That 鈥楳edicare For All鈥 Will Shutter Hospitals Goes Overboard

At the first Democratic presidential primary debate, former Rep. John Delaney (Md.) outlined his opposition to 鈥淢edicare for All鈥 and focused on one potential loser: hospitals. 鈥淚f you go to every hospital in this country and you ask them one question, which is, 鈥楬ow would it have been for you last year if every one of your bills were paid at the Medicare rate?鈥 Every single hospital administrator said they would close,鈥 he said. (Luthra, 6/27)

Kaiser Health News: KHN鈥檚 鈥榃hat The Health鈥: Dems Debate Health Care

Health care played a feature role in the first debate among Democratic presidential candidates Wednesday, with would-be nominees spreading across the spectrum on the question of how quickly to move to universal coverage and what, if any, role should remain for private insurance. Meanwhile, President Donald Trump earlier this week signed an executive order calling for hospital prices to be made more available to the public. But some analysts wonder if publicizing prices could cause them to rise rather than fall. (6/27)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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